Broadway Bound Kids: TAG 2026 Registration

Broadway Bound Kids: TAG Youth Scholars FALL 2026 Registration Form
Student Name

First NameLast Name
Grade in 2026-2027 School Year
Guardian #1 Name

First NameLast Name
Billing Email
example@example.com
Guardian #1 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Guardian #1 Email (if different from billing)
example@example.com
Street Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Guardian #2 Name

First NameLast Name
Guardian #2 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Guardian #2 Email
example@example.com
Participant Information
Student Nickname
Birthday
Pronouns
Which of the following best describes your student? Please select all that apply.
Primary Language Spoken
Please share any information about your child's medical information, allergies, or access needs that you would like us to know. In addition, if you want to share any information about your child's physician, please include it here.
Apart from Guardian #1 and #2, please list anyone who is authorized to pick up your student:
Name / Phone Number / Relationship
Name / Phone Number / Relationship
Name / Phone Number / Relationship
Emergency Contacts
Select Your Programs
**Please note, your total includes a 4% non-refundable processing fee**
There is a two-week drop period after BBK classes begin. There will be no refunds after this period.

My Products

Monday Classes

HIP HOP (5th-8th)

Mondays 2:30-3:30pm

$208.00 Quantity

HIP HOP (K-4th)

Mondays 3:40-4:40pm

$208.00 Quantity

Thursday Classes

THURSDAY THEATER (6th-8th)

Thursdays 2:30-3:30pm

$208.00 Quantity

THURSDAY THEATER (K-5th)

Thursdays 3:40-4:40pm

$208.00 Quantity

Enter coupon

Total

Debit or Credit Card
Credit Card Number	Security Code
Expiration Month	Expiration Year

How did you hear about Broadway Bound Kids?
BBK Liability Waiver

I understand that the classes and programs provided by Broadway Bound Kids (also known as EMG Artistic Inc.) may involve activities of a physical or athletic nature. I acknowledge that despite precautions taken by Broadway Bound Kids, such activities may result in accidents which could involve personal injury to my child(ren). I acknowledge that I believe my child to be qualified, in good health and in proper physical condition to participate in such activities. In consideration of Broadway Bound Kids providing such classes and activities and my child(ren)’s registration and participation therein, I am voluntarily assuming for myself and my child(ren) all risks, whether foreseen or unforeseen, in connection with my child(ren)’s participation in such classes or activities. I give my full consent for my child(ren)’s participation, and I promise and agree not to sue or bring a lawsuit against Broadway Bound Kids, its owners, directors, employees, agents, representatives, or volunteers in connection with any of Broadway Bound Kids’ classes or activities. I understand that by signing this agreement I am waiving, releasing and giving up any and all claims against, and agree to hold harmless, Broadway Bound Kids, its owners, directors, employees, agents, representatives, or volunteers in connection with any and all personal or property injury suffered by myself or my child(ren) in connection with any of Broadway Bound Kids’ classes or activities (whether in person or conducted remotely online) or at any premises or facilities associated with Broadway Bound Kids. I hereby give my permission to Broadway Bound Kids to summon trained medical professionals to care for my child(ren) in the event that an injury should occur in my absence with the understanding that I or another family member will be notified as soon as possible. I also certify that I have insurance to cover medical and dental expenses incurred in the treatment of my child, and Broadway Bound Kids shall in no event be responsible for such expenses. I hereby certify that I am the legal guardian of the child listed above. Furthermore, I have read this release of liability and assumption of risk and fully understand its terms. (Please note that you must agree to these terms in order for your child to participate in Broadway Bound Kids programs.)
Please Confirm
BBK Assumption of Risk (Covid 19)

Assumption of Risk and Waiver of Liability Related to Coronavirus/COVID-19
Attending in-person classes, programs, or activities conducted by or in association with Broadway Bound Kids Inc. could increase your risk and your child(ren)’s risk of contracting COVID-19. Broadway Bound Kids has put in place preventative measures to reduce the spread of COVID-19 and seeks to follow the guidance and recommendations of government health agencies such as the Centers for Disease Control and Prevention and New York state and local government authorities. However, Broadway Bound Kids cannot guarantee that you or your child(ren) will not be exposed to or become infected with COVID-19 as a result of participating in our activities. Please read this agreement carefully as your electronic signature indicates that you have agreed to assume certain risks and to give up certain rights.

ASSUMPTION OF RISK By signing this agreement, I acknowledge that:
- I have read the warning above concerning COVID-19 and understand there is a risk that I or my child(ren) may be exposed to or become infected with COVID-19 as a result of participating in Broadway Bound Kids’ classes and activities.
- I understand such exposure or infection may result in personal injury, illness, permanent disability, or even death.
- I understand that such exposure or infection could occur as a result of the actions, omissions, or negligence of myself, my children, or Broadway Bound Kids, its owners, directors, employees, agents, representatives, and volunteers.
- I am voluntarily assuming this risk for myself and my child(ren) as part of participating in Broadway Bound Kids’ classes and activities.
- I value my child(ren) being able to participate in Broadway Bound Kids’ classes and activities and am signing this agreement in exchange for such participation.
Indicate your understanding and acceptance of the above statement by initialing below:
BBK Photograph and Video Release

I give permission for any photographs, videos, or sound recordings taken of my child(ren) during participation in any of Broadway Bound Kids’ classes or activities to be used by Broadway Bound Kids for marketing purposes. I consent to the use of any such photographs, videos, or sound recordings for marketing purposes on Broadway Bound Kids’ website and marketing materials including any promotional posters, flyers, brochures, printed and electronic ads, electronic media, etc. I understand that I will not receive compensation in any form for the use of my child(ren)’s likeness in photograph or video, and/or recorded voice. I understand that under no circumstance will Broadway Kids use my child(ren)’s name in any marketing materials.
Please confirm your agreement to the Photo and Video Release statement
Please clarify limitations.
BBK Other Matters

I agree that this Agreement will be governed by the laws of the State of New York. I understand and agree that this Agreement is intended to be as broad and inclusive as permitted by the laws of the State of New York and that the invalidity of any clause or provision will not otherwise affect the remaining clauses or provisions of this Agreement. I understand and agree that my electronic signature on this Agreement shall have the same binding legal effect as a handwritten signature to the fullest extent permitted by applicable law, including the Federal Electronic Signatures in Global and National Commerce Act and the New York State Electronic Signatures and Records Act, and I hereby waive any objection to the contrary.
Please confirm your agreement to the Other Matters statement *
BBK Confirmation

I acknowledge and agree that I have carefully read the clauses above and understand their terms and conditions. I understand that by typing my name in the box below I am signing this Agreement and consenting to all the terms and conditions listed above. (Please note that you must agree to these terms in order for your child to participate in Broadway Bound Kids programs.)
I, Guardian Parent Name:

First NameLast Name
certify that I am the legal guardian of the child listed below. Child's Full Name:

First NameLast Name
CONFIRM BY TYPING PARENT/GUARDIAN NAME BELOW
Should be Empty:

Broadway Bound Kids: TAG Youth Scholars FALL 2026 Registration Form

Participant Information

Apart from Guardian #1 and #2, please list anyone who is authorized to pick up your student:

Select Your Programs

My Products*

​BBK Liability Waiver

BBK Photograph and Video Release

BBK Other Matters

BBK Confirmation

My Products

BBK Liability Waiver